Requirements to Join Triple-S FarmaMed (PDP)

To be eligible to join our Plan, you must:

• Live in our service area
• Be entitled to Medicare Part A and enrolled in Medicare Part B
  

Join Triple-S FarmaMed now and start saving on your prescription drugs!

Fill out the Enrollment Form in all its parts and enjoy all the benefits that Triple-S FarmaMed (PDP) offers you. The information required in our enrollment form is the following:

• CMS approval enrollment form
• Name and last name
• Date of birth
• Gender
• Social Security (optional)
• Telephone number
• Permanent address
• Mail Address
• HIC Number
• Answer question of stage renal disease (ESRD)
• Your signature or the signature of your authorized representative (must provide evidence)
• Evidence of Medicare Parts A and B
• COB information
• Signature and date
• Your signature agreeing to the Medicare Advantage plan rules as well as the other sections in the enrollment form that require your signature

When can you enroll in Triple-S FarmaMed (PDP)?

There are different times during the year when you can enroll in one of our plans.  Learn about our Enrollment Periods.

For more information about the options available to you during these enrollment periods, contact Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. 

Additional information can also be found in the “Medicare & You” handbook. This handbook is mailed to everyone with Medicare each fall.